Category Archives: Health Care Reform: Payment Reform

Center for Medicare and Medicaid Innovation: 11 States Awarded State Innovation Model Implementation Grants; 17 States, DC and 3 Territories Receive Planning Grants

The Center for Medicare and Medicaid Innovation has announced Round Two awards for the State Innovation Model, authorized by section 3201 of the Affordable Care Act, with 4-year implementation (test) awards to 11 states: Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New … Continue reading

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Peterson Center on Healthcare Launched to Transform U.S. Healthcare

Today the Peter G. Peterson Foundation announced the launch of the Peterson Center on Healthcare, a new organization dedicated to transforming U.S. healthcare into a high-performance system that delivers high-quality care at a lower cost. With an initial commitment of $200 … Continue reading

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Advocacy to Make Increased Medicaid Primary Care Payments Permanent

National primary care physician organizations, including the American College of Physicians, American Academy of Family Physicians, and American Academy of Pediatrics, have taken policy positions supporting making permanent the increased Medicaid primary care payments for calendar years 2013 and 2014 under … Continue reading

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Kaiser Family Foundation: Medicaid Financing – Overview of the Federal Medicaid Matching Rate

This policy brief from the Kaiser Family Foundation describes the Federal Medical Assistance Percentage (FMAP), or the federal matching rate for the Medicaid program. The FMAP is generally 50% for the majority of states, but as high as 74% for … Continue reading

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American Hospital Association: Your Hospital’s Path to the Second Curve – Integration and Transformation

This issue brief from the American Hospital Association (AHA) describes the need for hospitals to transform from volume-based payments to value-based revenue and business models. Environmental pressures are driving hospitals and care systems toward greater clinical integration, more financial risk … Continue reading

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Health Research & Education Trust: Second Curve Roadmap for Health Care

This “roadmap” from the Health Research & Education Trust of the American Hospital Association uses a futurist framework to describe the coming of the “second curve” (phase) for health care organizations, moving from a “first curve” of volume-based, largely fee-for-service … Continue reading

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Health Research & Education Trust: Metrics for the Second Curve of Health Care

This report from the American Hospital Association’s Health Research and Education Trust describes how hospitals and health systems will need to shift from a “first curve” of primarily fee-for-service, volume-based payments to a “second curve” of value-based payments based on … Continue reading

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Centers for Medicare & Medicaid Services: Additional $730 Million Available for State Innovation Models

The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) has announced the availability of an additional $730 million for states to design and implement State Innovation Models. These awards provide significant flexibility to … Continue reading

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Congress Outlines Bipartisan Agreement for Repeal of Medicare Sustainable Growth Rate Payment Formula

The bipartisan leadership of the House Ways and Means Committee, House Energy and Commerce Committee, and Senate Finance Committee have announced an agreement to finally repeal and replace the problematic Medicare Sustained Growth Rate (SGR) payment formula for physicians under … Continue reading

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Centers for Medicare & Medicaid Services: Request for Information on Accountable Care Organization Models

The Centers for Medicare & Medicaid Services (CMS) has issued a request for information for comments and ideas about accountable care organization (ACO) models, including whether CMS should fund another round of Pioneer ACOs, and what new or alternate ACO … Continue reading

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